Repozitorij Medicinskog fakulteta Sveučilišta u Zagrebu

Historic, demographic, and genetic evidence for increased population frequencies of CCR5Delta32 mutation in Croatian Island isolates after lethal 15th century epidemics

Biloglav, Zrinka and Zgaga, Lina and Smoljanović, Mladen and Hayward, Caroline and Polašek, Ozren and Kolčić, Ivana and Vitart, Veronique and Zemunik, Tatijana and Boraska, Vesna and Torlak, Vesela and Mulić, Rosanda and Ropac, Darko and Grković, Ivica and Rudan, Diana and Ristić, Smiljana and Barbalić, Maja and Campbell, Harry and Wright, Alan F. and Rudan, Igor (2009) Historic, demographic, and genetic evidence for increased population frequencies of CCR5Delta32 mutation in Croatian Island isolates after lethal 15th century epidemics. Croatian Medical Journal, 50 (1). pp. 34-42. ISSN 0353-9504 (Print) 1332-8166 (Electronic)

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    English abstract

    AIM: To assess the frequency of 32 base pair deletion in CCR5 (CCR5Delta32), which has been shown to confer resistance to HIV infection in a homozygous form, in 10 isolated island communities of Dalmatia, Croatia, with different histories of exposure to epidemics during and since the medieval period. ----- METHODS: In 2002, DNA analysis of 100 randomly selected individuals from each of the 10 isolated communities of 5 Croatian islands (Susak, Rab, Vis, Lastovo, and Mljet) showed high levels of 3-generational endogamy, indicating limited gene flow. Five of the communities were decimated by epidemics of unknown cause between 1449-1456, while the other 5 villages remained unaffected. Genotyping of the CCR5 gene was performed using the polymerase chain reaction method with primers flanking the region containing 32-bp deletion. ----- RESULTS: The frequency of CCR5Delta32 in the 5 villages affected by the epidemic was 6.1-10.0%, and 1.0-3.8% in the 5 unaffected villages. The Delta32 mutation was found in 71 of 916 alleles among the individuals from the affected villages (7.5%), and in 24 of 968 alleles in unaffected villages (2.5%, chi(2)=27.3, P<10-6). A previous study in 303 random Croatian blood donors showed the frequency of the CCR5 Delta32 of 7.1% in the general population. The difference remained significant after correcting for population structure using both STRAT and STRUCTURE software and the genomic control test, to ensure results do not arise from the background genetic differences. ----- CONCLUSION: Our results and historical evidence, suggest that the mid-15th century epidemic could have acted as a selection pressure for the CCR5Delta32 mutation.

    Item Type: Article
    MeSH: Croatia/epidemiology ; Demography ; Gene Frequency ; Genetics, Population ; Geography ; HIV Infections/genetics ; History, 15th Century ; History, 16th Century ; History, 17th Century ; History, 18th Century ; History, Medieval ; Humans ; Plague/epidemiology ; Plague/genetics ; Plague/history ; Polymerase Chain Reaction ; Polymorphism, Genetic ; Receptors, CCR5/genetics
    Divisions: Katedra za medicinsku statistiku, epidemiologiju i medicinsku informatiku
    Depositing User: Boris Čičovački
    Status: Published
    Biloglav, Zrinka
    Zgaga, Lina
    Smoljanović, Mladen
    Hayward, Caroline
    Polašek, Ozren
    Kolčić, Ivana
    Vitart, Veronique
    Zemunik, Tatijana
    Boraska, Vesna
    Torlak, Vesela
    Mulić, Rosanda
    Ropac, Darko
    Grković, Ivica
    Rudan, Diana
    Ristić, Smiljana
    Barbalić, Maja
    Campbell, Harry
    Wright, Alan F.
    Rudan, Igor
    Date: February 2009
    Date Deposited: 30 Sep 2009
    Last Modified: 23 Sep 2011 18:10
    Subjects: /
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